A 46 years old female,with shortness of breath as chief complaint

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Here we discuss our individual patient problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problems with collective current best evidence based inputs


This E log also reflects my patient centre’s online learning portfolio and valuable inputs on the comment box is welcome.



CASE:  A 46 year old female housewife resident of  Nalgonda  came to hospital with chief complaints of Shortness of breath since 5days 


History of presenting illness :-

  She was apparently asymptomatic 5 days back then developed shortness of breath which was insidious in onset progressed gradually, aggravated in lying down (supine) position and relieved on medication. She has history of cough with expectoration since 5 days, chest tightness associated with shortness of breath since 5 days.

   K/c/o hypertension since 12 yrs on regular medication 


RESPIRATORY EXAMINATION 

  INSPECTION :- Raised JVP

  Auscultation: -

 -  Right side decreased breath sounds 

 -  Bilateral rhonchi present at suprascapular, interscapular, infrascapular, infra axillary areas

 - Bilateral crepitations present at interscapular, infrascapular, infra axillary areas .

    





         

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